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MH and SUD Medical and Related Services/Coding |
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Behavioral Health Medications MH Conditions CPT/HCPCS Modifier Description |
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Behavioral Health Medications SUD Conditions CPT/HCPCS Modifier Description |
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J0400 Injection, aripiprazole (Abilify), intramuscular, 0.25 mg
J0401 Injection, aripiprazole (Abilify), 1 mg J0515 Cogentin (benztropine mesylate, per 1mg J1200 Diphenhydramine hcl (Benadryl), up to 50 mg |
Buprenorphine/naloxone administration, Administration of oral, intramuscular and/or T1502 subcutaneous medication by health care agency/professional, per visit Alcohol and/or drug services; methadone administration and/or service (provision of H0020 the drug by a licensed program) J0571 Buprenorphine, oral, 1 mg J0572 Buprenorphine/naloxone, oral, less than or equal to 3 mg |
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J1630 Haloperidol Injection, Up to 5 mg |
J0573 Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg |
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J1631 Haloperidol Decanoate Injection per 50 mg J2212 Injection, methylnaltrexone (Relistor), 0.1 mg J2060 Lorazepam Injection, 2mg J2358 Olanzapine Long Acting Injectable 1 mg J2426 Paliperidone Palmitate Injection (Invega Sustenna or Invega Trinza), 1 mg J2680 Fluphenazine Decanoate Injection 25 mg J2794 Risperidone, Long Acting, .5 mg J3360 Valium Injection, Up to 5 mg |
J0574 Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg J0575 Buprenorphine/naloxone, oral, greater than 10 mg J2310 Injection, naloxone (Narcan), 1mg J2315 Injection, naltrexone (Vivitrol), depot form, 1 mg J8499 HG Oral naloxone, per 50 mg tablet |
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Medical Services CPT/HCPCS Modifier Description |
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Medical Services CPT/HCPCS Modifier Description |
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99201 Office or other outpatient visit for the evaluation and management of a new patient |
99201 Office or other outpatient visit for the evaluation and management of a new patient |
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99202 Office or other outpatient visit for the evaluation and management of a new patient |
99202 Office or other outpatient visit for the evaluation and management of a new patient |
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99203 Office or other outpatient visit for the evaluation and management of a new patient |
99203 Office or other outpatient visit for the evaluation and management of a new patient |
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99204 Office or other outpatient visit for the evaluation and management of a new patient |
99204 Office or other outpatient visit for the evaluation and management of a new patient |
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99205 Office or other outpatient visit for the evaluation and management of a new patient Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care 99211 professional. Office or other outpatient visit for the evaluation and management of an established 99212 patient Office or other outpatient visit for the evaluation and management of an established 99213 patient Office or other outpatient visit for the evaluation and management of an established 99214 patient Office or other outpatient visit for the evaluation and management of an established 99215 patient 99341 Home visits for the evaluation and management of a new patient 99342 Home visits for the evaluation and management of a new patient 99343 Home visits for the evaluation and management of a new patient 99344 Home visit for the evaluation and management of a new patient 99345 Home visit for the evaluation and management of a new patient 99347 Home visit for the evaluation and management of an established patient 99348 Home visit for the evaluation and management of an established patient 99349 Home visit for the evaluation and management of an established patient 99350 Home visit for the evaluation and management of an established patient Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour when added on to an evaluation and +99354 management code Prolonged service in the office or other outpatient setting each additional thirty minutes when added on to +99354 when the +99354 is added on to an evaluation and +99355 management code Nursing Services performed by an RN with a mental health diagnosed patient related to H2019 their mental health condition Nursing Services performed by an LPN with a mental health diagnosed patient related H2017 to their mental health condition
H0040 AM/SA/UC Assertive Community Treatment, Prescriber billing event |
99205 Office or other outpatient visit for the evaluation and management of a new patient Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care 99211 professional. Office or other outpatient visit for the evaluation and management of an established 99212 patient Office or other outpatient visit for the evaluation and management of an established 99213 patient Office or other outpatient visit for the evaluation and management of an established 99214 patient Office or other outpatient visit for the evaluation and management of an established 99215 patient 99341 Home visit for the evaluation and management of a new patient 99342 Home visit for the evaluation and management of a new patient 99343 Home visit for the evaluation and management of a new patient 99344 Home visit for the evaluation and management of a new patient 99345 Home visit for the evaluation and management of a new patient 99347 Home visit for the evaluation and management of an established patient 99348 Home visit for the evaluation and management of an established patient 99349 Home visit for the evaluation and management of an established patient 99350 Home visit for the evaluation and management of an established patient Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour when added on to an evaluation and +99354 management code Prolonged service in the office or other outpatient setting each additional thirty minutes when added on to +99354 when the +99354 is added on to an evaluation and +99355 management code Nursing Services performed by an RN with a substance use disorder diagnosed patient T1002 related to their SUD condition Nursing Services performed by an LPN with a substance use disorder diagnosed T1003 patient related to their SUD condition Alcohol and/or drug services; ambulatory detoxification. Nursing services performed by H0014 an RN/LPN. 93000 Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report |
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H0040 Assertive Community Treatment, RN/LPN billing event 93000 Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular |
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood (not incident to another professional code; not in a residential setting). (Urine Drug Screening) |
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H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood (not incident to another professional code; not in a residential setting). (Urine Drug Screening) |
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Vaccine Administration codes and Vaccines Immunization administration through 18 years of age via any route of administration, 90460 with counseling by physician or other health care professional; first or only component of each vaccine or toxoid administered 90471 Immunization administration (includes percutaneous, intradermal, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid 90472 Immunization administration; each additional vaccine. List separately in addition to code for primary procedure (add-on to 90471 90473 Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid) Immunization administration by intranasal or oral route; each additional vaccine (single 90474 or combination vaccine/toxoid) (List separately in addition to code for primary procedure), (add-on to 90473) 90633 Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use 90634 Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use 90371 Hepatitis B immune globulin (HBIg), human, for intramuscular use 90650 Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use 90649 Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenza type b 90644 vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use 90698 Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenza type b, and inactivated poliovirus vaccine (DTaP-IPV/Hib), for intramuscular use 90654 Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use 90658 Influenza virus vaccine, trivalent (IIV3), split virus, when administered to individuals 3 years of age and older, for intramuscular use 90660 Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use 90680 Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use 90681 Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus 90696 vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use 90713 Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use 90710 Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use 90716 Varicella virus vaccine (VAR), live, for subcutaneous use 90736 Shingles vaccine (HZV), live, for subcutaneous injection (individuals 60+ years old) Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed 90732 patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use 90733 Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use 90734 Meningococcal conjugate vaccine, serogroups A, C, Y and W-135, quadrivalent (MenACWY), for intramuscular use 90740 Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use 90747 Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use |
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Vaccine Administration codes and Vaccines Immunization administration through 18 years of age via any route of administration, 90460 with counseling by physician or other health care professional; first or only component of each vaccine or toxoid administered 90471 Immunization administration (includes percutaneous, intradermal, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid 90472 Immunization administration; each additional vaccine. List separately in addition to code for primary procedure (add-on to 90471 90473 Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid) Immunization administration by intranasal or oral route; each additional vaccine (single 90474 or combination vaccine/toxoid) (List separately in addition to code for primary procedure), (add-on to 90473) 90633 Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use 90634 Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular use 90632 Hepatitis A vaccine (HepA), adult dosage, for intramuscular use 90371 Hepatitis B immune globulin (HBIg), human, for intramuscular use 90650 Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use 90649 Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenza type b 90644 vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular use 90698 Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenza type b, and inactivated poliovirus vaccine (DTaP-IPV/Hib), for intramuscular use 90654 Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use 90658 Influenza virus vaccine, trivalent (IIV3), split virus, when administered to individuals 3 years of age and older, for intramuscular use 90660 Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use 90670 Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use 90680 Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use 90681 Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus 90696 vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use 90713 Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use 90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use 90710 Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use 90714 Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use 90715 Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use 90716 Varicella virus vaccine (VAR), live, for subcutaneous use 90736 Shingles vaccine (HZV), live, for subcutaneous injection (individuals 60+ years old) Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed 90732 patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use 90733 Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use 90734 Meningococcal conjugate vaccine, serogroups A, C, Y and W-135, quadrivalent (MenACWY), for intramuscular use 90740 Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use 90746 Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use 90747 Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use |
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CLIA Exempt Tests/Labs |
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CLIA Exempt Tests/Labs |
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86580 36415 |
Skin test; tuberculosis, intradermal Collection of venous blood by venipuncture |
86580 Skin test; tuberculosis, intradermal 36415 Collection of venous blood by venipuncture |
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82075 |
Alcohol (ethanol), breath |
82075 Alcohol (ethanol), breath |
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MH and SUD Counseling and Therapy Services/Coding |
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Behavioral Health Counseling and Therapy MH Conditions CPT/HCPCS Modifier Description 90832 Psychotherapy, 30 minutes with patient and/or family member.
Psychotherapy, 30 minutes with patient and/or family member when performed with an E&M service (list separately in addition to the code for primary procedure). (Use +90833 90833 in conjunction with 99201–99255, 99304–99337, 99341–99350). 90834 Psychotherapy, 45 minutes with patient and/or family member.
Psychotherapy, 45 minutes with patient and/or family member when performed with an E&M services (list separately in addition to the code for primary procedure). (Use +90836 90836 in conjunction with 99201–99255, 99304–99337, 99341–99350). Psychotherapy, 60 minutes with patient and/or family member. 90837 Prolonged service in the office or other outpatient setting requiring direct patient +99354 contact beyond the usual service; first hour when added on to 90837 Prolonged service in the office or other outpatient setting each additional thirty +99355 minutes when added on to +99354 when the +99354 is added on to 90837 Psychotherapy, 60 minutes with patient and/or family member when performed with an E&M services (list separately in addition to the code for primary procedure). (Use 90838 in conjunction with 99201–99255, 99304–99337, 99341–99350). (Use 90785 in conjunction with 90832, 90833, 90834, 90836, 90837, 90838 when psychotherapy +90838 includes interactive complexity services.) 90839 Psychotherapy for crisis; first 60 minutes. +90840 Psychotherapy for crisis; each additional 30 minutes. 90846 Family psychotherapy (without the patient present). 90847 Family psychotherapy (conjoint psychotherapy) (with patient present). 90849 Multiple-family group psychotherapy. 90853 Group psychotherapy (other than of a multiple-family group). +90785 Interactive Complexity when added on to a psychotherapy code H2012 MH Day Treatment (hourly) H2020 MH Day Treatment (per diem) H2015 Intensive Home-Based Treatment |
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Behavioral Health Counseling and Therapy SUD Conditions CPT/HCPCSModifier Description 90832 Psychotherapy, 30 minutes with patient and/or family member.
Psychotherapy, 30 minutes with patient and/or family member when performed with an E&M service (list separately in addition to the code for primary procedure). (Use +90833 90833 in conjunction with 99201–99255, 99304–99337, 99341–99350). 90834 Psychotherapy, 45 minutes with patient and/or family member.
Psychotherapy, 45 minutes with patient and/or family member when performed with an E&M services (list separately in addition to the code for primary procedure). (Use +90836 90836 in conjunction with 99201–99255, 99304–99337, 99341–99350). Psychotherapy, 60 minutes with patient and/or family member. 90837 Prolonged service in the office or other outpatient setting requiring direct patient +99354 contact beyond the usual service; first hour when added on to 90837 Prolonged service in the office or other outpatient setting each additional thirty +99355 minutes when added on to +99354 when the +99354 is added on to 90837 Psychotherapy, 60 minutes with patient and/or family member when performed with an E&M services (list separately in addition to the code for primary procedure). (Use 90838 in conjunction with 99201–99255, 99304–99337, 99341–99350). (Use 90785 in conjunction with 90832, 90833, 90834, 90836, 90837, 90838 when psychotherapy +90838 includes interactive complexity services.) 90839 Psychotherapy for crisis; first 60 minutes. +90840 Psychotherapy for crisis; each additional 30 minutes. 90846 Family psychotherapy (without the patient present). 90847 Family psychotherapy (conjoint psychotherapy) (with patient present). 90849 Multiple-family group psychotherapy. 90853 Group psychotherapy (other than of a multiple-family group). +90785 Interactive Complexity when added on to a psychotherapy code H0004 BH counseling and therapy, per 15 minutes. H0004 UT BH counseling and therapy, per 15 minutes. (patient in crisis). H0005 Alcohol and/or drug services; group counseling by a clinician. H0015 Alcohol and/or drug services; intensive outpatient LOC - group counseling only |
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H0040 |
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Assertive Community Treatment, Licensed/Master's billing event |
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H0040 |
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Assertive Community Treatment, Bachelor's billing event |
H0015 |
TG |
Alcohol and/or drug services; partial hospitalization LOC - group counseling only |
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MH and SUD Assessment, Evaluation and Testing |
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Behavioral Health Assessment, Evaluation and Testing MH Conditions CPT/HCPCS Modifier Description 90791 Psychiatric diagnostic evaluation. 96136 - 1st Psychological or neuropsychological test administration and scoring by physician or 30 Min. / other qualified health care professional, two or more tests, any method 96137 - Add'l 30 Min. |
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Behavioral Health Assessment, Evaluation and Testing SUD Conditions CPT/HCPCS Modifier Description 90791 Psychiatric diagnostic evaluation. 96136 - 1st Psychological or neuropsychological test administration and scoring by physician or 30 Min. / other qualified health care professional, two or more tests, any method 96137 - Add'l 30 Min. |
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96130 - 1st Psychological testing evaluation services by physician or other qualified health care 60 Min. / professional, including selection of the appropriate tests to be administered, 96131 - Add'l integration of patient data, interpretation of standardized test results and clinical data, 60 Min. clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s) |
96130 - 1st Psychological testing evaluation services by physician or other qualified health care 60 Min. / professional, including selection of the appropriate tests to be administered, 96131 - Add'l integration of patient data, interpretation of standardized test results and clinical data, 60 Min. clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s) |
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96132 - 1st Neuropsychological testing evaluation services by physician or other qualified health 60 Min. / care professional, including integration of patient data, interpretation of standardized 96133 - Add'l test results and clinical data, clinical decision making, treatment planning and report, 60 Min. and interactive feedback to the patient, family member(s) or caregiver(s) |
96132 - 1st Neuropsychological testing evaluation services by physician or other qualified health 60 Min. / care professional, including integration of patient data, interpretation of standardized 96133 - Add'l test results and clinical data, clinical decision making, treatment planning and report, 60 Min. and interactive feedback to the patient, family member(s) or caregiver(s) |
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96112 - 1st Developmental test administration (including assessment of fine and/or gross motor, 60 Min. / language, cognitive level, social, memory and/or executive functions by standardized 96113 - Add'l developmental instruments when performed), by physician or other qualified health 60 Min. care professional, with interpretation and report |
96112 - 1st Developmental test administration (including assessment of fine and/or gross motor, 60 Min. / language, cognitive level, social, memory and/or executive functions by standardized 96113 - Add'l developmental instruments when performed), by physician or other qualified health 60 Min. care professional, with interpretation and report |
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96116 - 1st Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, 60 Min. / eg, acquired knowledge, attention, language, memory, planning and problem solving, 96121 - Add'l and visual spatial abilities), per hour of the psychologist's or physician's time, both face-60 Min. to-face time with the patient and time interpreting test results and preparing the report |
96116 - 1st Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, 60 Min. / eg, acquired knowledge, attention, language, memory, planning and problem solving, 96121 - Add'l and visual spatial abilities), per hour of the psychologist's or physician's time, both face-60 Min. to-face time with the patient and time interpreting test results and preparing the report |
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90792 Psychiatric diagnostic evaluation - includes medical. G0396 Alcohol and/or substance (other than tobacco) abuse structured screening (e.g., Alcohol Use Disorders Identification Test [AUDIT], Drug Abuse Screening Test [DAST]) and brief intervention (SBI) services, 15 to 30 minutes. G0397 Alcohol and/or substance (other than tobacco) abuse structured screening (e.g., AUDIT, DAST) and brief intervention (SBI) services, over 30 minutes. |
90792 Psychiatric diagnostic evaluation - includes medical.
H0001 Alcohol and/or drug assessment (not incident to a licensed practitioner's assessment). |
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MH and SUD Coordination and Support Services |
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MH Conditions CPT/HCPCS Modifier Description
H2017 LPN) Therapeutic Behavioral Services performed by QMHS H2019 (not RN) H0036 Community Psychiatric Supportive Treatment H0038 Peer Recovery Support Individual Placement and Support - Supported H2023 Employment, initial visit H2025 Individual Placement and Support - Supported Employment, ongoing visits |
SUD Conditions CPT/HCPCS Modifier Description
H0006 Alcohol and/or drug services; case management H0038 Peer Recovery Support |
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SUD Residential |
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SUD Residential Treatment, including withdrawal management SUD Conditions CPT/HCPCS Modifier Description H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) H0010 Alcohol and/or drug services; sub acute detoxification (residential addiction program inpatient). (3.2-WM) H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient). (3.7-WM) H2034 Alcohol and/or drug abuse halfway house services, per diem. (3.1) H2036 HI Alcohol and/or other drug treatment program, per diem. Cognitive Impairment. (3.3) H2036 Alcohol and/or other drug treatment program, per diem. (3.5) H2036 TG Alcohol and/or other drug treatment program, per diem. (3.7) |
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OhioMHAS Housing & Services Oriented Residence Categories & Definitions Crosswalk |
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Category |
Definition |
Types of Housing |
Examples |
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Permanent Housing |
A housing setting located in the community of the individual’s choice and may be scattered site or a single site housing complex. Services and supports are not mandatory. May have some expectations which is agreed to within the lease if included in the housing. Supports can be on-site or off-site depending on individual need and specific setting. Length of stay is determined by the lease and individual not a program. |
Permanent Supportive Housing
Provides access both to affordable housing and to a flexible and comprehensive array of supportive services designed to help tenants to achieve and sustain housing stability and to move toward recovery. Housing is covered by Ohio tenant landlord law. PSH is an evidence-based practice for people with mental illnesses and is typically defined by the following features:
• Tenant households execute leases (or sub-lease) agreements with the same rights and responsibilities as other households renting housing in the community; • Supportive services are readily available to tenants, are designed to promote housing stability and include access to crisis services 24 hours a day, seven days a week; • Supportive services are flexible and individualized, adjusted to meet the tenants’ evolving needs and preferences; • On-going participation in supportive services is not required for tenants to retain their housing; and • Access to the housing opportunity and the services is not time-limited. |
• Private Apartments, House, Duplex, Condo
• Home Ownership
• Supportive Housing
• Section 8 Voucher
• Housing First |
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Recovery Residence
Housing for individuals recovering from alcoholism or drug addiction that provides an alcohol and drug-free environment, peer support, and assistance with obtaining services. Other services may include addiction recovery aids, employment assistance, room and board, and various levels of recovery based services. House rules and administrative rules apply. Treatment services are received off site and billed separately, if applicable. Agency-or owner-operated with various levels of staff. Resident’s often live in a congregate setting. May have a standard tenant landlord lease or general lease agreement with program rules. Recovery Housing levels are defined by the following features:
Level 1: Peer-run, democratically run; housing often provided in shared living environments such as single family residences; most often no paid positions to run the housing. Support services include self-help and drug screening, house meetings.
Level 2: Monitored by one house manager who screens potential residents; shared living environment such as single family residences; structured. Support services include self-help and drug screenings, no clinical services provided in house. Referral linkages to community based services may be available. |
• Level 1 Recovery Residence
• Level 2 Recovery Residence
• Sober House
• Oxford |
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Service Enriched Housing
A housing setting (service-enriched housing) in which a person living in an apartment or shared living setting where he/she entered into an agreement that is NOT covered by Ohio tenant landlord law. Housing is contingent upon adherence to rules or specific services. Financial sponsorship and/or provision of some degree of on-site supervision. Will be ADAMH/CMH/ADAS Board or provider owner owned and managed. |
• OhioMHAS Licensed Type 2 or Type 3
• Adult Family Home
• Adult Group Home
• Next Step Housing
• Supervised Group Living |
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Residential Care |
A congregate or shared living setting that includes room, board, and personal care as part of tenant rent. Depending on residents level of functioning and care needs, may have 24/7 staffing, and assistance with activities of daily living. Services are included and delivered as defined in license. A resident agreement that includes participation in services may be applicable. Residential Care is owned and operated by a private owner or provider agency.
May or may not be a long term more permanent housing depending on level of care needed for the individual. This type of housing is licensed and is not subject to tenant landlord law but does require a resident agreement. |
Group Home
A congregate living environment to provide supervised care to individuals 18 years or older. Licensed by the state, includes room and board and may or may not include personal care or mental health services. Reasons for this placement level of care are more environmental in nature than psychiatric. May provide supervision, social services and accommodations, but treatment services are provided separately and service intensity will vary from client to client. May or may not be a long term more permanent housing depending on level of care needed for consumer. |
• Private Apartments, House, Duplex, Condo
• Home Ownership
• Supportive Housing
• Section 8 Voucher
• Housing First |
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Residential Care Facilities (Health)
Licensed through the Ohio Department of Health — may or may not share a bedroom. Residential care facility” is a home that provides either of the following: (a) Accommodations for 17 or more unrelated individuals and supervision and personal care services for three or more of those individuals who are dependent on the services of others by reason of age or physical or mental impairment; mha.ohio.gov 2 OhioMHAS Housing Categories and Definitions — July 2014 (b) Accommodations for three or more unrelated individuals, supervision and personal care services for at least three of those individuals who are dependent on the services of others by reason of age or physical or mental impairment, and, to at least one of those individuals, supervision of special diets or application of dressings or provide for the administration of medication to residents to the extent authorized. Can be called Assisted Living. |
• Residential Care
• Assisted Living
• County Home
• Group Home |
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Licensed ODODD Facility
Refers to any Ohio Department of Developmental Disabilities-licensed group home or community facility (that is not an ICF-IID) where supervision, services and/or accommodations are provided. Examples: Group home for persons with developmental disabilities; Residential facility for persons with developmental disabilities. |
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Child Residential Care/Group Homes
A congregate living environment licensed by a county or state department to provide care to children or adolescents. Reasons for this placement level of care are more environmental in nature than psychiatric. Child Residential Care/Group Home may provide supervision, social services and accommodations, but treatment services are provided separately and service intensity will vary from client to client. |
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OhioMHAS Housing & Services Oriented Residence Categories & Definitions Crosswalk |
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Category |
Definition |
Types of Housing |
Examples |
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Time-Limited/Temporary |
A short term setting that can include room, board, and/or personal care and supports. A setting that provides support needed for an identified length of stay per the program or agreement. Intention is for residents to return to previous housing setting; to move into a more permanent housing setting or a break from current housing. Most often Treatment and/or services are part of facility rules. NOT intended as a permanent housing environment. This setting is not subject to tenant landlord law and would not meet Home and Community Based Settings |
Temporary
Acute non-hospital, time-limited residential program with an expected length of occupancy and goals to transition to permanent housing. Includes room and board with referral and access to treatment services that are billed separately. |
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Transitional
Time-limited, usually connected to a program with a completion timeframe. Services and supports required as part of program. Stay is not Resident driven. |
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Recovery Residence - Level 3 (IOP required)
Supervised, organizational hierarchy with administrative oversight; found in all types of residential settings staffed by a facility manager. Certified staff or case managers, support services include life skills development, emphasis on clinical services. Services provided through the program are limited. |
• Level 3 Recovery Residence |
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Recovery Residence - Level 3 (IOP NOT required)
Supervised, organizational hierarchy with administrative oversight; found in all types of residential settings staffed by a facility manager. Certified peer support, support services include life skills development emphasis on non-clinical supports that may include employments services, daily living skills, social supports. Robust non-clinical programming designed to enhance retention in clinical services (if applicable) and provide recovery supports. |
• Level 3 Recovery Residence |
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Crisis Care
Provision of short-term care to stabilize person experiencing a psychiatric emergency. Offered as an alternative to inpatient psychiatric unit. Staff 24 hours a day/seven days a week. Treatment services are billed separately. |
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Respite Care
Short-term environment, it may or may not be 24-hour care. Reasons for this type of care are more environmental in nature. May provide supervision, services and accommodations. Treatment services are billed separately. |
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Foster
Living situations in which the client resides with a non-related family or person in that person’s home for purpose of receiving care, supervision, assistance and accommodations. Treatment services are billed separately. Licensed through the state. |
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Residential Treatment |
A facility/program that is staffed 24 hours a day/seven days a week and provides room, board, personal care and clinical services on-site as part of the treatment stay. Admission to the facility/program is determined by clinical and medical need. |
OhioMHAS Type 1 Residential Facilities
Provides room, board, personal care and certified mental health services to one or more adults, children or adolescents. The facility is licensed and certified by OhioMHAS. Reasons for this level of care are psychiatric or behavioral in nature environmental. Not a long-term placement as clinical services are on-site. For the purposes of this crosswalk, only the associated room and board for residents is considered. |
• OhioMHAS Type 1 Residential Facilities |
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OhioMHAS Certified SUD Residential Treatment Program
SUD residential treatment programs provide a structured environment for the delivery of SUD treatment. These programs operate 24 hours a day 7 days per week and 365 days per year and are staffed accordingly. SUD treatment is provided under program defined and developed policies and procedures and clinical protocols. For the purposes of this crosswalk, only the associated room and board for residents is considered. |
• SUD Residential Treatment Programs |
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Housing Development |
Housing and Residential activities performed by a Board or a Provider that enhances client services and supports within the community. |
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